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Grievance or Appeals resumes in Columbus, OH, 43215

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Employee Relations Talent Acquisition

Columbus, OH
... Strengthened union relations through consistent policy enforcement and empathetic grievance resolution, limiting formal hearings to only two cases during tenure. Enhanced retention and engagement by aligning employee lifecycle improvements with ... - Aug 04

Event Planner Medical Billing

Columbus, OH
... * Medical Insurance * Online & Paper Claim Submission * HIPPA Compliant * Medical Manager * Patient Needs Management * Claim Appeals Skills as an Event Designer and Event Planner * Specializes in organizing * Attention to detail * Executing various ... - Jul 10

Financial Aid Business Administration

Hilliard, OH
... Processes, approves and denies appeals. Monitors student accounts. Assures compliances with federal and state regulations, in addition to university policies and Completion of several FASFA and NASFA online Trainings for ongoing processes/guidelines ... - Jun 16

Business Analyst Senior

New Albany, OH
... projects regarding correspondence and customer satisfaction Assisted the member with coverage, authorizations and grievance policies Performed system updates for codes using claims system Created spreadsheets with Microsoft Excel Check claim ... - May 15

Case Management Mental Health

Grove City, OH, 43123
... Serve as a member of management during the grievance procedure. Assist with Labor Relations. Promote an atmosphere of trust and high-performance team. Respond to consumer complaints. Facilitate large group and team meetings. September 2001- Present ... - May 08

Data Entry Care Coordinator

Columbus, OH
... Skills - Medicaid Applications & Patient Reimbursements - Insurance Eligibility Verification - Claims Investigation & Appeals Processing - Benefits Administration & Billing Support - Data Entry & Records Management - Account Reconciliation & ... - May 01

Data Governance Project Management

Columbus, OH
... EEO Counselor Bureau of the Public Debt Conducted interviews with aggrieved individuals and management to facilitate informal grievance resolutions. Performed comprehensive analysis of Federal Regulations and HR processes for grievance resolution ... - Apr 19

Customer Service Claims Examiner

Reynoldsburg, OH
... Process appeals for denied claims while adhering to company policies, applicable laws, and regulations. Communicate effectively with customers via phone and written correspondence to provide timely resolutions. Accurately document claim status and ... - Feb 07

Human Resources Employee Relations

Hilliard, OH, 43026
... accidents and settlement of several outstanding and dormant claims ● Managed unemployment – decreased in rates due to appeals process and training of management on termination process ● Develop and implement policies and procedures to ensure ... - Jan 23

Customer Service Specialist

Columbus, OH
... Grievance and Appeals Coordinator UnitedHealthcare Insurance-Dublin, OH January 2017 to December 2018 • Professionally and empathetically communicated with individuals regarding appeal procedures, current status, outcome, and potential options. • ... - 2024 Dec 01
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